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Novel Attention Training in Children with Attention Deficit/Hyperactivity Disorder 儿童注意缺陷/多动障碍的新注意力训练
Pub Date : 2023-02-16 DOI: 10.36316/gcatr.05.0048
Yanting Hou, Si Dai, Yidong Shen, J. Ou
Attention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder marked by an ongoing inattention and/or hyperactivity-impulsivity pattern. Traditional treatments targeting attentional aspects are associated with drug side effects, costly expenses, and poor compliance. This review aims to present novel approaches to attention training, such as using digital interventions to improve cognitive function mediated by video games, eye trackers, and gesture recognition sensors. The merit and shortages of these novel approaches and some new ideas of attention training in ADHD are discussed. KEYWORDS ADHD; attention training; video games; eye-tracking
注意缺陷多动障碍(ADHD)是一种常见的神经发育障碍,其特征是持续的注意力不集中和/或多动-冲动模式。针对注意力方面的传统治疗与药物副作用、昂贵的费用和较差的依从性有关。本综述旨在介绍注意力训练的新方法,例如使用数字干预来改善由视频游戏、眼动仪和手势识别传感器介导的认知功能。讨论了这些新方法的优点和不足,以及ADHD注意训练的一些新思路。关注培训;视频游戏;眼球追踪
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引用次数: 0
Birth Outcomes and IGF2 Methylation in P3 Promoter Region in Tibetan and Han Chinese Maternal-newborn Pairs in Hypo-baric Hypoxia High-altitude Area 低气压低氧高海拔地区藏族和汉族母婴P3启动子区IGF2甲基化与出生结局
Pub Date : 2023-01-10 DOI: 10.36316/gcatr.05.0047
Wenxiu Jian, P. Sun, Xuejun Wang, Pinhua Wang, Jiangzuo Zhaxi, Yangrui Zhang, Shulin Wang, Dexiong Zhao, Yue-Mei Fan, Liehong Wang, W. Peng
Background: The relationship between Insulin-like growth factor 2 (IGF2) methylation in the P3 promoter region and birth outcomes in a hypobaric-hypoxia environment has never been investigated. This study examined the association and compared birth outcomes and IGF2 methylation in this region by ethnicity and altitude. Methods: Four hundred and six (406) mother and newborn pairs in the Tibetan Plateau were enrolled in a birth cohort study. Data were collected through interviews using structural questionnaires or extracted from medical records. Pyrosequencing was performed for IGF2 methylation in the P3 promoter region in maternal peripheral and umbilical cord blood. Birth outcomes and IGF2 methylation were compared among three groups: Han in high altitude (HHA, n=164, 2000-3500m), Tibetan in high altitude (THA, n=42, 2000-3500m), and Tibetan in ultra-high altitude (TUHA, n=200, 3500m and higher).Results: TUHA seemed to have a higher prevalence of macrosomia (7.5%) than both THA (0.0.%) and HHA (2.4%) and a lower IGF2 methylation level in maternal blood than THA (P=0.008). No difference in the IGF2 methylation levels was found between THA and HHA. The IGF2 methylation levels in maternal peripheral blood were associated with a reduced risk of macrosomia (RR= 0.726, 95% CL [0.528,0.998], P=0.049) among all mother and newborn pairs. Conclusions: Increased altitude appears to be associated with decreased maternal IGF2 methylation levels in the P3 promoter region, and maternal IGF2 methylation levels in this region was associated with reduced risk of macrosomia in newborns in the hypobaric hypoxic Tibetan Plateau environment. KeywordsMacrosomia; IGF2; DNA methylation; high altitude; Tibet Plateau
背景:在低压-缺氧环境下,P3启动子区胰岛素样生长因子2 (IGF2)甲基化与出生结局之间的关系从未被研究过。本研究考察了这种关联,并比较了该地区不同种族和海拔的出生结果和IGF2甲基化。方法:在青藏高原选取496对(406对)母亲和新生儿进行出生队列研究。数据收集通过访谈,使用结构性问卷或从医疗记录中提取。对母体外周血和脐带血P3启动子区域的IGF2甲基化进行焦磷酸测序。比较高海拔汉族(HHA, n=164, 2000-3500m)、高海拔藏族(THA, n=42, 2000-3500m)和超高海拔藏族(TUHA, n=200, 3500m及以上)三组的出生结局和IGF2甲基化。结果:TUHA组巨大儿患病率(7.5%)高于THA组(0.0%)和HHA组(2.4%),母体血液IGF2甲基化水平低于THA组(P=0.008)。在THA和HHA之间没有发现IGF2甲基化水平差异。母亲和新生儿外周血IGF2甲基化水平与巨大儿风险降低相关(RR= 0.726, 95% CL [0.528,0.998], P=0.049)。结论:海拔升高似乎与母体P3启动子区IGF2甲基化水平降低有关,而该区域的母体IGF2甲基化水平与青藏高原低气压低氧环境下新生儿巨大儿的风险降低有关。KeywordsMacrosomia;IGF2;DNA甲基化;高海拔;青藏高原
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引用次数: 0
Structured Benefit-Risk Assessments: An Illustrative Case Study of Paracetamol. 结构效益-风险评估:扑热息痛的说明性案例研究。
Pub Date : 2022-11-03 DOI: 10.36316/gcatr.04.0046
Rosa Piccirillo, J. Parish
This paper aims to provide an overview of the steps in developing a structured benefit-risk assessment, along with a simple, salient, and timely example of its implications. Using the time-tested, non-prescription drug paracetamol (a.k.a. acetaminophen) as an example, we demonstrate the fundamental role a well-structured benefit-risk assessment may play in clarifying the safety profile of even well-established medicinal products. The benefit-risk balance assessment performed by drug manufacturers and others involved in keeping drugs on the market is integral to a non-stop drug safety assessment continuum throughout a product’s lifecycle. This provides further reassurance that, as the world grapples with new diseases, pharmacovigilance systems with robust tools such as structured benefit-risk assessments can evolve and adapt by developing essential preventive and mitigative strategies. All these examples and practices contain the through-line of consideration for the protection of public health, a foundational cornerstone of pharmacovigilance practice. While a wealth of information may be explored on each aspect of the presented topics, the authors aim to give even those readers with only minimal background in pharmacovigilance an appreciation for the value of structured benefit-risk assessments.
本文旨在概述发展结构性利益风险评估的步骤,以及其影响的一个简单、突出和及时的例子。以久经考验的非处方药扑热息痛(又名扑热息痛)为例,我们展示了结构良好的收益-风险评估在阐明即使是成熟的医药产品的安全性方面可能发挥的基本作用。由药品制造商和其他参与保持药品上市的人员进行的利益-风险平衡评估是整个产品生命周期中不间断的药品安全评估连续体的组成部分。这进一步保证,随着世界与新疾病作斗争,具有结构化利益-风险评估等强大工具的药物警戒系统可以通过制定必要的预防和缓解战略而不断发展和适应。所有这些例子和做法都包含了对保护公众健康的全面考虑,这是药物警戒做法的基础基石。虽然可以对所提出主题的每个方面进行丰富的信息探索,但作者的目标是即使是那些在药物警戒方面只有最低背景的读者也要对结构化收益-风险评估的价值表示赞赏。
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引用次数: 0
Pharmacovigilance Principles: The Building Blocks of Benefit-Risk Assessments 药物警戒原则:利益-风险评估的基石
Pub Date : 2022-11-03 DOI: 10.36316/gcatr.04.0045
Rosa Piccirillo, Jennifer Parish
A medicinal product must demonstrate a favorable benefit-risk balance to remain on the market. That the benefits of use outweigh the risks is established using analyses referred to as benefit-risk assessments, which are conducted on an ongoing basis throughout the lifecycle of a medicinal product. While fundamental to maintaining a product’s marketing authorization, few regulatory guidance documents have been developed to provide information on the specific content and structure of a benefit-risk assessment. This paper aims to provide an overview of the key concepts in pharmacovigilance that contribute to the creation of a structured benefit-risk assessment, particularly through qualitative analysis.
医药产品必须证明有利的利益-风险平衡才能继续在市场上销售。使用的益处大于风险是通过称为益处-风险评估的分析来确定的,这种分析是在药品的整个生命周期中持续进行的。虽然对维持产品的上市许可至关重要,但很少制定监管指导文件来提供有关利益风险评估的具体内容和结构的信息。本文旨在概述药物警戒中的关键概念,这些概念有助于创建结构化的收益-风险评估,特别是通过定性分析。
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引用次数: 1
Application of Chinese Herbal Medicine in COVID-19 中药在新冠肺炎中的应用
Pub Date : 2021-06-30 DOI: 10.36316/gcatr.03.0041
Yehong Tian, Xiaowei Qiu, Xin Jiang, Jinchang Huang, Fengyu Zhang
Traditional Chinese herbal medicine has a long history in treating febrile diseases, according to the Shang Han Lun, a classical theory of traditional Chinese medicine developed by Zhang Zhongjing in the Han Dynasty. Some herbs have been formulated as prescription formulae or manufactured as finished medicine such as pills, capsules or injections. The Chinese government has recommended specific TCM prescriptions alone or combined with Western medicine to treat patients with COVID-9. Here, we introduce three prescription formulae, Qingfei Paidu Decoction, Huashi Baidu Formula, and Xuanfei Baidu Formula, three finished medicines, Lianhua Qingwen Capsule, Jinhua Qinggan Granule, and Xuebijing Injection; following this, several single herbs such as Ephedra herba, Honeysuckle, Scutellaria, Glycyrrhizae radix, Armeniacae semen, Sophorae flavescentis radix, and Curcuma longa. We review existing evidence of these traditional medicines and herbs for their related antiviral activities, efficacy, and underlying mode of action in virus-related diseases. Most of these drugs have been traditionally used in Chinese medicine for over a thousand years, and they have been proved to be safe in treating flu-like virus infections. It will be adequate to further test for their efficacy for COVID-19 and understand the underlying molecular mechanism.
根据汉代张仲景创立的经典中医理论《尚汉论》,中医在治疗发热疾病方面有着悠久的历史。有些草药被配制成处方配方或制成成品药物,如药片、胶囊或注射剂。中国政府建议对新冠肺炎患者单独或结合西药治疗有针对性的中药方剂。这里介绍清肺排毒汤、化石百度方、宣肺百度方三种方剂,联花清温胶囊、金花清肝颗粒、血必净注射液三种成品药;在此之后,几种单一的草药,如麻黄、金银花、黄芩、甘草、亚美尼亚、苦参和姜黄。我们回顾了这些传统药物和草药在病毒相关疾病中的相关抗病毒活性、功效和潜在作用模式的现有证据。这些药物中的大多数在传统中医中已经使用了一千多年,并且已被证明在治疗流感类病毒感染方面是安全的。这将足以进一步测试它们对COVID-19的功效并了解潜在的分子机制。
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引用次数: 0
Metformin Combined LMWH Intervention in 25 Pregnant Women with History of Hyperlipidemia Pancreatitis in Pregnancy 二甲双胍联合低分子肝素干预妊娠期高脂血症胰腺炎25例
Pub Date : 2021-06-30 DOI: 10.36316/gcatr.03.0043
Mei Peng, Yali Deng, Ling Yu, Yanting Nie, Ting Luo, Jian Huang, Xihong Zhou, Yiling Ding
Objective: To explore the early preventive treatment of hypertriglyceridemia-induced acute pancreatitis (HTGP) in pregnancy.Methods: A retrospective cohort analysis was performed to examine the drug intervention on recurrent HTGP and related pregnancy outcomes among women who had HTGP in their past pregnancy and developed hyperlipidemia during the second pregnancy. Participants were identified through inpatient case records under a single physician at the clinic and divided into two groups. The intervention group was given metformin lipid-lowering combined with low-molecular-weight heparin to prevent thrombosis when hypertriglyceridemia was developed during the pregnancy. In contrast, the non-intervention group includes those who did not receive active drug treatment until they developed recurrent HTGP. Metabolic markers were also examined by comparing them with their respective past pregnancies.Results: All participants experienced elevated triglycerides during their two consecutive pregnancies. No pregnant women developed HTGP in the intervention group (n=12), while 10 of 13 (76.9%) women developed HTGP in the non-intervention group. Thus, the outcome seemed to be markedly different. In the intervention group, 11 women were gestated to term, and one was premature; one of 12 (8.3%) births was neonatal asphyxia; there was no low-weight birth, and the prognosis of mother and baby was favorable. Of 10 women who developed recurrent HTGP in the non-intervention group, four suffered from fetal loss, four had premature, and two had full-term delivery; among the three pregnant women without HTGP, one had a premature and two had full-term births; five of thirteen (38.5%) births were neonatal asphyxia.Conclusion: Pregnant women with HTGP history, if not treated, are likely to develop the condition recurrently during pregnancy, but timely intervention on hypertriglyceridemia with lipid-lowering and thrombosis-preventing seemed complete to reduce the recurrent HTGP and improve the pregnancy outcomes.
目的:探讨妊娠期高甘油三酯血症致急性胰腺炎(HTGP)的早期预防治疗。方法:采用回顾性队列分析的方法,观察药物干预对既往妊娠有HTGP且在第二次妊娠发生高脂血症的妇女复发性HTGP及相关妊娠结局的影响。参与者通过门诊一名医生的住院病例记录确定,并分为两组。干预组在妊娠期出现高甘油三酯血症时给予二甲双胍降脂联合低分子肝素预防血栓形成。相比之下,非干预组包括那些直到复发性HTGP才接受积极药物治疗的患者。代谢指标也通过与各自过去的怀孕进行比较来检查。结果:所有参与者在连续两次怀孕期间都经历了甘油三酯升高。干预组没有孕妇发生HTGP (n=12),而非干预组13名妇女中有10名(76.9%)发生HTGP。因此,结果似乎明显不同。在干预组中,11名妇女怀孕至足月,1名早产;12例新生儿中有1例(8.3%)为新生儿窒息;无低体重儿,母婴预后良好。在非干预组中,10名复发性HTGP的妇女中,4名胎儿丢失,4名早产,2名足月分娩;在3名没有HTGP的孕妇中,1名早产,2名足月分娩;13例新生儿中有5例(38.5%)为新生儿窒息。结论:有HTGP病史的孕妇,如果不及时治疗,妊娠期间有可能再次发生HTGP,但及时干预高甘油三酯血症并结合降脂和预防血栓形成似乎完全可以减少HTGP的复发,改善妊娠结局。
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引用次数: 0
Correction: Pathogen Genomics and Host Cellular Susceptibility Factors of COVID-19 更正:COVID-19病原体基因组学和宿主细胞易感因子
Pub Date : 2021-06-30 DOI: 10.36316/gcatr.03.0042
Fengyu Zhang, M. Waters
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引用次数: 0
Natural Products and Potential Therapeutic Intervention for COVID-19 COVID-19的天然产物和潜在治疗干预措施
Pub Date : 2021-03-30 DOI: 10.36316/gcatr.03.0040
Fengyu Zhang
The coronavirus disease 19 (COVID-19) caused pandemic is still prevailing, but few approved medications are available. While the vaccinations have begun in some areas, it is of concern how the virus mutations will affect the vaccine effectiveness in populations. Various natural products exhibit good pharmacological properties of antiviral, antioxidant, and anti-inflammatory activities that may offer preventive intervention benefits. In addition to that, adequate essential minerals and trace elements (e.g., selenium and zinc) are required for healthy immune function; many natural products from prokaryotic and eukaryotic organisms can be potential drug targets. Among them are plant extracts traditionally used for antiviral and parasite infections. Two phytochemicals, hesperidin, and sulforaphane might be the most promising candidates for effective prophylaxis and mitigating disease severity. Therefore, they deserve a further study of their antiviral mechanisms of action then move to randomized clinical trials to determine appropriate dosing, pharmacokinetic parameters, and their potential efficacy and safety in humans.
冠状病毒病19 (COVID-19)引起的大流行仍在流行,但获得批准的药物很少。虽然一些地区已开始接种疫苗,但令人关切的是,病毒突变将如何影响疫苗在人群中的有效性。各种天然产物表现出良好的抗病毒、抗氧化和抗炎活性,可能提供预防干预的益处。除此之外,充足的必需矿物质和微量元素(如硒和锌)是健康免疫功能所必需的;原核生物和真核生物的许多天然产物可能是潜在的药物靶点。其中包括传统上用于抗病毒和寄生虫感染的植物提取物。两种植物化学物质橙皮苷和萝卜硫素可能是最有希望有效预防和减轻疾病严重程度的候选者。因此,它们值得进一步研究其抗病毒作用机制,然后进行随机临床试验,以确定合适的剂量、药代动力学参数以及它们在人体中的潜在功效和安全性。
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引用次数: 0
IFN-gamma Signaling in Lichen Planus 扁平地衣中ifn - γ信号的表达
Pub Date : 2021-03-03 DOI: 10.36316/gcatr.03.0039
O. Plazyo, S. Shao, J. Gudjonsson
Lichen planus (LP) is a chronic inflammatory disease that affects the skin, nails, urogenital tract, and oral mucosa. It ranges from mild inflammation to the destruction of the epithelial surface with painful wounds and squamous cell carcinoma development. The LP lesion differences in location and morphology determine the clinical disease subtypes which all share a histological feature of dense band-like sub-epithelial infiltration of lymphocytes and keratinocyte apoptosis. Despite the well-characterized clinical manifestations of LP, its pathogenesis remains mostly unknown. Recent studies revealed a role of IFN-γ signaling that renders keratinocytes more susceptible to T-cell-mediated cytotoxicity via upregulation of MHC class I molecules. Targeting IFN-γ signaling in LP has been proposed as a treatment option. These latest developments in research on the etiology of LP will be discussed herein.
扁平苔藓(LP)是一种慢性炎症性疾病,影响皮肤、指甲、泌尿生殖道和口腔黏膜。它的范围从轻微的炎症到上皮表面的破坏,伴有疼痛的伤口和鳞状细胞癌的发展。LP病变部位和形态的差异决定了临床疾病亚型,其组织学特征均为淋巴细胞致密带状亚上皮浸润和角化细胞凋亡。尽管LP的临床表现很好,但其发病机制仍不清楚。最近的研究表明,IFN-γ信号通过上调MHC I类分子,使角质形成细胞更容易受到t细胞介导的细胞毒性的影响。针对LP中的IFN-γ信号已被提出作为一种治疗选择。本文将讨论脂肪肝病因学研究的最新进展。
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引用次数: 0
Reflections and Forethoughts on Global Clinical and Translational Research 对全球临床和转化研究的反思和展望
Pub Date : 2020-12-24 DOI: 10.36316/gcatr.02.0038
{"title":"Reflections and Forethoughts on Global Clinical and Translational Research","authors":"","doi":"10.36316/gcatr.02.0038","DOIUrl":"https://doi.org/10.36316/gcatr.02.0038","url":null,"abstract":"","PeriodicalId":265939,"journal":{"name":"Global Clinical and Translational Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114336567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Global Clinical and Translational Research
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